The Form 5C
frequently changes between first-person and second- person. This
may confuse some respondents. The agency is instructed to review
this form and, if possible, rewrite the text to be consistent.
Inventory as of this Action
Requested
Previously Approved
09/30/2003
09/30/2003
09/30/2000
53,975
0
56,418
80,963
0
89,140
0
0
0
Application for benefits (loan) used
to determined eligibility and credit worthiness of individual
victims who seek Federal assistance in a declared
disaster.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.